Oraszewska-Matuszewska Bronisława, Pieczara Ewa, Sameochowiec-Donocik Elibieta, Filipek Erita
Z Katedry i Kliniki Okuliistyki Dzieciecej Slaskiej Akademii Medycznej w Katowicach.
Klin Oczna. 2005;107(1-3):86-9.
To evaluate the course of palpebral type of vernal keratoconjunctivitis (VKC) and relation of the number of recurrences per year, to patients age and to estimate the frequency of irreversible corneal transparency changes and visual acuity decrease.
There were 34 eyes of 17 children, 13 boys (76.4%) included 2 brothers and 4 girls. The age of patients was from 5 to 14 years, mean 9.1. All patients were hospitalized because of pathological corneal changes. Follow up from 2 to 13 years (mean 8.4). The number of recurrences ranged from 2 to 5 per year and there was not correlation between age of children and frequency of episodes.
We have observed punctate keratopathy (79.14% of cases) and corneal ulcers (26.5% of cases). In 25 eyes of 13 patients cryocoagulation and/or excision of giant palpebral papillae were done. Visual acuity ranged from 0.01 to 1.0 and mean value before treatment was 0.879 +/- 0.09 and after 0.884 +/- 0.10. The difference was not statistically significant (p = 0.878).
(1) The course of VKC is recurrent, the number of recurrences per year does not depend on the age of patients, but is correlated with giant papillae of palpebral conjunctiva presence. (2) Large papillae should be excised, in order to make the healing of cornea quicker. (3) Permanent visual function decreasing is not frequent because partial leucoma is localized at the periphery of cornea.
评估睑裂部春季角结膜炎（VKC）的病程、每年复发次数与患者年龄的关系，并估计不可逆角膜透明度改变和视力下降的发生率。
17名儿童的34只眼，其中男孩13名（76.4%），包括2对兄弟，女孩4名。患者年龄5至14岁，平均9.1岁。所有患者因病理性角膜改变住院。随访2至13年（平均8.4年）。每年复发次数为2至5次，儿童年龄与发作频率之间无相关性。
我们观察到点状角膜病变（79.14%的病例）和角膜溃疡（26.5%的病例）。对13例患者的25只眼进行了冷冻凝固和/或巨大睑裂部乳头切除术。视力范围为0.01至1.0，治疗前平均值为0.879±0.09，治疗后为0.884±0.10。差异无统计学意义（p = 0.878）。
（1）VKC病程呈复发性，每年复发次数不取决于患者年龄，但与睑结膜巨大乳头的存在有关。（2）应切除大乳头，以使角膜愈合更快。（3）永久性视功能下降不常见，因为部分角膜白斑位于角膜周边。
